The Voice of Podiatrists

Serving Over 14,000 Podiatrists Daily

March 14, 2013 #4,715 Publisher-Barry Block, DPM, JD

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NY Podiatrist Injects Sculptra to Treat Metatarsalgia

New York City podiatrist Dr. Krista Archer is treating patients suffering from foot pain with a product that is often thought of as a beauty treatment for a younger looking complexion. The beauty product known as Sculptra is made from poly-L-lactic acid which helps to replace collagen where fat has been lost. Dr. Archer is using it to create padding in the balls of the feet in order to relieve pain. Once exclusively used for people’s faces to reduce signs of aging, Sculptra is now also being used to give a "foot lift" to help patients with metatarsalgia.

Dr. Krista Archer

"The balls of the feet get tender as we age, but now science can help us to give patients more padding and fullness in their feet. There is an alternative to forsaking your favorite pair of sky high Louboutins," states Dr. Archer. "The same dermal filler that is used in the face to fill deep lines and make us look younger can also make our feet feel younger."

Source: CBSNews.com [3/12/13]

PA Podiatrist Among Highest Paid by Big Pharma

A Philadelphia foot doctor was named one of a few dozen physicians across the nation who have earned more than $200,000 in lucrative part-time speaking and consulting work for drug companies. Dr. Warren S. Joseph, of Huntingdon Valley, was No. 5 on ProPublica's list of "Top Earners." ProPublica is a non-profit news organization devoted to investigative journalism. The list of doctors is the latest in their series, Dollars for Docs.

Dr. Warren Joseph

Joseph practices podiatry at Roxborough Memorial Hospital and the Coatesville VA Medical Center, according to ProPublica. During the last four years, Joseph reaped $652,412 in speaking, consulting, travel, and other fees from three pharmaceutical companies. In a 2010 story in the Inquirer, Joseph acknowledged receiving drug company money. He pointed out that diabetic foot ulcers cause more than 80,000 amputations each year. By getting the word out, "I'm saving limbs," he told reporter Faye Flam.

Source: Sam Wood, Philly.com [3/12/13]

IN Podiatrist Receives Small Business of the Year Award

Each year, members of the Greater Seymour Chamber of Commerce gather for an opportunity to honor those in the community who have made a difference and are contributing to the community. Dr. Walt and Jan Warren received the Small Business of the Year award. The couple owns Comprehensive Foot and Ankle where Dr. Warren is a practicing podiatrist. Jan started as a teacher at Seymour High School.

Dr. Walter Warren

Chamber President Bill Bailey said that some patients could tell the practice was also the couple's home. "Many of Walt's patients with late afternoon appointments could smell Jan's cooking in the next room after school," he said, which drew some laughter. "Three things attracted us to Seymour," Walt said. "The size, both Jan and I were from small towns; the location, and the community in general."

Source: Jordan Richart, The Banner [3/11/13]

VA Podiatrist Interviwed by Young Reporter on Telemundo

Earlier this month, Dr. Ben Pearl of Arlington, VA was interviewed  for "Mayi el Show" on Telemundo for the DC Metro Area. The show features interviews by the young reporter on various topics that are important to the Latin community. 

Dr. Ben Pearl on Telemundo

The reporter pointed out that there are many new cases of diabetes in the Latin community and asked Dr. Pearl for early signs of diabetes that show up in the feet and body in general. She also asked him the common things he sees in his office and what young people can do to prevent foot problems.

Query: Rigid Shoes and Stress Fractures

When we give our patients the advice "to wear some other kind of rigid shoes," what does that really mean? Where do we find "rigid shoes" when almost all shoes are made out of flexible EVA and PU foams, and soles made of flexible rubber? Some shoes may have re-inforced shanks, but they only extend to the midfoot. Which shoes reduce the pressure and shearing moment under the metatarsal heads enough to heal and protect from stress fractures? Are there studies that confirm that rigid shoes do that?
 
Steven King, DPM, Maui, HI

Query: ICD-10 Preparation

What steps have PM News readers taken to prepare for ICD-10? Are there any seminars geared for training the docs as well as coders specific to podiatry?

William Hughes, DPM, Council Bluffs, IA

RE: Macrodactyly (Tip Sullivan, DPM)
From: Tip Sullivan, DPM

I would like to clarify the pictures posted regarding this issue. The post-op picture was after stage one which basically involved osseous reconstruction. After the second surgery,  the plantar forefoot and digit were carefully debulked to a much more normal appearance.

Macrodactyly Post-op

One of the most interesting things that I noticed in this case was not podiatric! This young man had been embarrassed about his foot for his entire life. It had affected his entire demeanor. He would not hold his head up. He would not look you in the eye. He was very soft spoken and introverted. After about 6 months, his affect was totally different; he became outgoing, talkative, and engaging (and he began dating). His mom told me that his whole attitude had changed. Chalk one up for the foot guys!
 
Tip Sullivan, DPM, Jackson, MS, tsdefeet@MSfootcenter.net

RE: Efficacy of Lasers for Onychomycosis (Burton Katzen, DPM)
From: Amedeo L Fortuna, DPM

I tend to agree with Dr. Katzen's assessment. If the laser company purports and pitches a thin beautiful nail after treatment by picture representation only, then that's what should be expected. It seems like a bait and switch to now say that the laser treatment kills the fungi, but the nail continues to be thick and ugly. Then, the same post-treatment pictures should continue to exhibit a thick ugly nail along with a copy of pre- and post-pathology reports.

If the only goal was a negative pathology report, I could think of many ways to accomplish that objective, and with third-party coverage. We also know that the primary concern of the patient is a normal looking nail, and not a negative pathology report. Therein lies the conundrum.

Amedeo L Fortuna, DPM, Bellmawr, NJ, afortuna@snip.net

Editor's note: This topic is now closed and no further letters will be accepted.

RE: Inexpensive Cast Cutter
From: Joseph S Borreggine, DPM

I had to replace my cast cutter this past year and realized that a cordless multi-purpose tool with a lithium ion rechargeable battery from Sears with the tile grout cutter attachment works just as well as any cordless orthopedic cast cutter at a 3,000% savings. Look it up on the Internet or shop yourself to see what I am talking about.

Joseph S Borreggine, DPM, Charleston, IL, footfixr@consolidated.net

RE: Steinberg, Levoy to be Inducted Into PM Podiatry Hall of Fame
From: Lynn Homisak

A simple, but sincere "Congratulations!" to Bob Levoy and Dr. John Steinberg on being the newest inductees into the PM Podiatry Hall of Fame! Well-deserved recognition for two very respected gentlemen. Thank you to them both for all they have contributed to our profession!

Lynn Homisak, Federal Way, WA, lynn@soshms.com

ASSOCIATE POSITION - ORANGE COUNTY, NY

Looking for a highly motivated surgical trained podiatrist in the Orange County, NY (West Point area). Hospital, wound center and surgical center affiliated. It is a busy practice that covers hospital inpatients, Wound Center, and takes ER call. The applicant has to be trained in all foot surgery and be able to handle advanced diabetic wound care. The practice is a 1 hour car ride from NYC and is close to hiking, fishing ,skiing and state parks. Please Email a CV and contact info to clsp4@yahoo.com

ASSOCIATE/PARTNERSHIP  MIAMI/KENDALL FLORIDA

Podiatrist with interest in foot and ankle surgery and comprehensive foot and ankle care. Pathway to partnership/ownership available. Send CV and information: ibaumdpm@bellsouth.net

ASSOCIATE POSITION NEEDED FOR CENTRAL FLORIDA

FT/PT associate needed for nursing home work. Great compensation and a great way to supplement your income. Must be willing to travel. Contact us at (786) 975-2090 or fax to (847) 674-2113 you may also email to feetwork@aol.com.

ASSOCIATE POSITION - CENTRAL FLORIDA

Associate position for busy practice in Central Florida. Competitive salary with complete benefit package available. Please send resume to cmedders@atlanticpodiatry.com

ASSOCIATE POSITION - SOUTHERN CALIFORNIA

Requiring full-time podiatrist (PSR-24 or greater) in established Practice situated in a foothill community of Southern California. There is an existing patient base and a strong support team. Compensation is performance based with practically an unlimited earning capability. A possible buy-in is negotiable. Send resume to office@uplandpodiatry.com , titled, "Podiatrist".

POSITION AVAILABLE - WEIL FOOT ANKLE & ORTHOPEDIC INSTITUTE- CHICAGO

Weil Foot Ankle & Orthopedic Institute is expanding their presence in the Chicago metropolitan area and suburbs and is recruiting qualified podiatric surgeons. A three-year residency is required and a podiatric fellowship is preferable. Current practicing podiatric practitioners in Chicago and surrounding area are also welcome to join our rapidly expanding practice that currently numbers 16 DPMs, a neurologist, an orthopedic surgeon, and a primary care sports medicine physician. For more information contact: info@weil4feet.com or call Stephanie Spiegel, COO at 847-390-7666.

ASSOCIATE POSITION - NY AND NJ

Highly ethical, motivated self starter wanted. Must be willing to work hard. Must have excellent people skills. There is partnership opportunity if you are willing to work for it. This is not for everyone. No whiners, and no slackers. Send C.V. to ddfcfootdoc@gmail.com

ASSOCIATE POSITION - EASTERN SHORE OF MARYLAND

Seeking highly motivated, ethical, enthusiastic associate to join successful, well-established practice located in close proximity to Maryland and Delaware beaches. Certified/qualified by ABPS with rearfoot experience preferred. The practice incorporates surgery, wound care, sports medicine and general podiatry. Fully equipped office with diagnostic ultrasound, fluoroscopy, vascular testing, radio frequency ablation, six treatment rooms and three satellite offices. Main office has accredited ambulatory surgery center. This opportunity has excellent salary potential with benefits for the right individual. Send CV to dpmkthomas@gmail.com.

ASSOCIATE POSITION - NORTHWEST IOWA

A well-established, midwest multi-physician practice with strong hospital affiliations seeking FT podiatrist. Applicant should be well trained surgical physician, completed a 12/24 month residency, & board eligible. Practice offers high surgical volume, advanced wound care and good mix of general podiatry. Competitive salary, excellent benefits. Fax resume: 712-258-9977.

ASSOCIATE POSITION - HOUSTON, TEXAS

PSR 24+/ Equiv. DPM, Texas license, Busy diverse practice. Greater Houston Area, Guaranteed Salary and benefits All Aspects of Podiatric Medicine and Surgery. Board eligibilty, Bilingual A Plus. Send CV to Randal Lepow at rmldpm1@att.net

ASSOCIATE POSITION - DAYTON, OH

Join a well-established modern practice in Dayton, Ohio. Excellent reputation and referral base. Base salary $120,000, benefits and bonus structure. EMR, diagnostic ultrasound, Padnet vascular studies, CO2 lasers, all aspects of DME. We seek a surgeon that is well-trained and personable to join our group of 4 podiatric surgeons. Would like to have this individual buy in to the practice eventually. Please send CV and to Ohiodoctors@aol.com

ASSOCIATE POSITION - WASHINGTON, DC/ MD SUBURBS

Prominent, established two office practice seeking well rounded, personable, ethical individual with sharp medical and surgical skills. Must be 24/36 month trained, ABPS qualified or certified. Partnership opportunity with ownership potential. Competitive salary with benefits package. Please send CV to ponyrunner66@gmail.com

SPACE AVAILABLE - NYC & LI

Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed PODO2345@AOL.COM 516-476-1815

EQUIPMENT FOR SALE - COMPLETE AMFIT ORTHOTIC FABRICATION SYSTEM

Complete Amfit Orthotic Fabrication System with Footfax SL Contact digitizer-3 years old. System includes milling machine, 2 PCs, all cords, parts, hardware and assorted insole blanks. $45K New, Asking $10K. E-mail inquiries to: sportsmed@fdfac.com

EQUIPMENT FOR SALE - USED Q-CLEAR LASER

Still under warranty. New laser head just added. First Best Offer. Marketing and training included. Dr. Zuckerman will train you. e-mail with questions to mook863@comcast.net

PRACTICE FOR SALE - WEST PALM BEACH FLORIDA

Well established successful West Palm Beach practice grossing $475K with excellent reputation and good referral base. Consistent new patient growth, great opportunity with increased gross revenue and surgical growth potential. EHR implemented with meaningful use criteria met. Great area to live and work. Serious inquires E-mail wpbfootdrs@gmail.com

PRACTICE FOR SALE - LOS ANGELES, CA

Practice is in Boyle Heights area since 1998. 70%MM the rest consist of Cash/PPO/HMOs. Last 4 years grossed between 200-350k in a down economy. Constant referrals from PCPs in the area. Includes Padnet, and all podiatry equipments. Asking 130k. Please email me only footdoc525@yahoo.com

PRACTICE FOR SALE - MISSION VIEJO, CA

Relocating to Tulsa. Great opportunity to buy my office. Located at Mission Hospital. Gross income 2012 was $560,000. Approximately 1300sqft with 3 treatment rooms, digital x-ray and fully computerized. Will consider all offers. Call David at 949-702-1052 or david@missionviejofootcare.com

PRACTICE FOR SALE - SOUTHWEST FL

Multilocation multidoctor practice in beautiful Southwest Florida . Practice has grossed over seven figures consistently and currently shows 10-15% growth in revenues with increase in new patients and patient visits. EHR is already implemented with meaningful use criteria met. Practice has been professionally evaluated by Provider Resources. Only serious inquiries to this email address. This is a great practice in Paradise and a good opportunity for the right doctor or doctors. Email to: practiceforsaleswfla@gmail.com

PM News Classified Ads Reach over 14,000 DPMs and Students

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